EP1911477B1 - Automatischer Selbsttest eines implantierbaren medizinischen Geräts mit transkutaner Energieübertragung - Google Patents

Automatischer Selbsttest eines implantierbaren medizinischen Geräts mit transkutaner Energieübertragung Download PDF

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Publication number
EP1911477B1
EP1911477B1 EP07076050A EP07076050A EP1911477B1 EP 1911477 B1 EP1911477 B1 EP 1911477B1 EP 07076050 A EP07076050 A EP 07076050A EP 07076050 A EP07076050 A EP 07076050A EP 1911477 B1 EP1911477 B1 EP 1911477B1
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testing
implantable medical
medical device
external
self
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French (fr)
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EP1911477A2 (de
EP1911477A3 (de
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Alec Gringgen
Rocco Crivelli
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Codman Neuro Sciences SARL
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Codman Neuro Sciences SARL
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/378—Electrical supply
    • A61N1/3787—Electrical supply from an external energy source
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142—Pressure infusion, e.g. using pumps
    • A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
    • A61M5/14276—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body specially adapted for implantation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36142—Control systems for improving safety
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37217—Means for communicating with stimulators characterised by the communication link, e.g. acoustic or tactile
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37252—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
    • A61N1/37276—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data characterised by means for reducing power consumption during telemetry
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/35—Communication
    • A61M2205/3507—Communication with implanted devices, e.g. external control
    • A61M2205/3523—Communication with implanted devices, e.g. external control using telemetric means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/35—Communication
    • A61M2205/3546—Range
    • A61M2205/3561—Range local, e.g. within room or hospital
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/35—Communication
    • A61M2205/3576—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver
    • A61M2205/3592—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver using telemetric means, e.g. radio or optical transmission
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/70—General characteristics of the apparatus with testing or calibration facilities
    • A61M2205/702—General characteristics of the apparatus with testing or calibration facilities automatically during use
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/82—Internal energy supply devices
    • A61M2205/8206—Internal energy supply devices battery-operated
    • A61M2205/8212—Internal energy supply devices battery-operated with means or measures taken for minimising energy consumption
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/82—Internal energy supply devices
    • A61M2205/8237—Charging means
    • A61M2205/8243—Charging means by induction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A61N1/37241—Aspects of the external programmer providing test stimulations

Definitions

  • the present invention is directed to self-testing of an implantable medical device in a transcutaneous energy transfer (TET) system that performs automatic, periodic self-testing to verify its proper operation while minimizing power consumption.
  • TET transcutaneous energy transfer
  • one or more devices that require power may be located within the confines of a closed system, or "body,” in which it may be difficult and/or undesirable to also include a substantial and/or long term source of power:
  • the closed system or body may be delimited by various types of physical boundaries, and the system internal to the boundary may be living or inanimate, may perform a variety of functions, and may have a variety of operational and physical requirements and/or constraints. In some cases, such requirements and constraints may make the implementation of a substantial and/or long term "internal" power source for internally located devices problematic.
  • a closed system is the human body.
  • prosthetic and other medical-devices that require power may be surgically implanted within various portions of the body.
  • Some examples of such devices include, but are not limited to, drug infusion pumps, pacemakers, defribilators, cochlear implants, sensors and stimulators.
  • issues such as repeated reentry or surgery, internal space limitations, and contamination (e.g., infection) are factors to consider when selecting a suitable internal power source for some of these implantable medical devices.
  • TET transcutaneous energy transfer
  • a transformer that includes a primary winding (or coil) external to the body and a secondary winding internal to the body. Both the primary and secondary windings generally are placed proximate to respective outer and inner layers of a patient's skin; hence, the term “transcutaneous” commonly refers to energy transfer "through the skin.”
  • implantable medical devices are subject to possible malfunction or may cease functioning altogether. Because some of the medical devices provide life threatening functionality, it is imperative to test to ensure proper operation.
  • Heretofore testing of implantable electronic devices was often initiated by an individual such as a physician, technician, nurse or patient upon engaging a button or key on an external control device in communication with the implantable medical device. Desirably such testing would be triggered periodically, for example, once every 24 hours, to verify proper operation. This disadvantageously would require someone to remember to manually activate or initiate the testing procedure.
  • U.S. Patent No. 6,387,048 discloses an implantable sensor which includes electronic circuitry for automatically performing on a periodic basis, e.g., once every hour or once every day, specified integrity tests in order to verify proper operation of the sensor.
  • a plurality of sensors are implanted in a patient in the same general area. Each sensor operates independently of the others. If all the sensors are functioning properly, then the output data obtained from each sensor should be approximately the same. The output data sensed by each sensor may thus be used as a cross-check against the output data sensed by the other sensors.
  • the teaching of this patent is limited to checking of only high level output data detected by the sensor, and fails to check the low level operation of the components themselves. This is problematic in that the invention fails to identify the specific component that is subject to malfunction.
  • U.S. Patent No. 6,740,075 disclose a TET system with self-testing functionality initiated at the external communication device.
  • Software associated with the communication device in turn, generates an Initiate Self-Test telemetry message that is transmitted via telemetry to the implantable device so that it may be tested as well.
  • Another aspect of the testing functionality taught by the patented invention involves self-testing of the battery voltage of the implantable medical device.
  • the communication device telemetry system sends messages to or receives messages from the medical device telemetry system, wherein the communication device is capable of performing a test of battery voltage with a load on the battery.
  • this patented invention discloses self-testing of the implantable medical device (e.g., battery voltage) in response to a triggering signal generated by the external communication device.
  • the implantable medical device e.g., battery voltage
  • the TET system taught by U.S. Patent No. 6,740,075 requires a triggering signal from the external device to initiate automatic, periodic self-testing functionality of the internal battery power.
  • all remaining components of the implantable medical device in particular all other components whose malfunction could negatively impact the health of the patient, fail to be tested.
  • testing of the battery voltage is conducted periodically based solely on the expiration of predetermined periodic time periods or each time the device is powered on and thus is inefficient from an energy consumption perspective.
  • a closed system such as that employing an implantable medical device and external control unit each has its own coil for receiving/transmitting radio frequency signals therebetween.
  • each of the implantable medical device and external control unit has its own associated power source, e.g., a battery, for powering its associated circuitry and its associated components.
  • the buttery regardless of whether primary/non-rechargeable or secondary/rechargeable, has a limited lifespan and a predetermined amount of energy or power before having to be replaced or recharged. Testing to verify that the implantable medical device is working property consumes energy from the limited internal battery power source thereby reducing its overall lifespan. Accordingly, heretofore the advantages of automatic, periodic self-testing of an implantable medical device to verify proper operation had to be weighed against the disadvantageous consumption of battery power and thus reduction in lifespan.
  • US patent publication no. 2002/0016568 discloses an implantable infusion pump according to the preamble of claim 1.
  • the implantable pump has a self-test function which, like the afore-mentioned devices, may be initiated automatically on a regular basis. For example, the preferred operation of the device is to perform a self-test at midnight each day. In addition, a self-test may be initiated un request via n telemetric signal.
  • an improved TET device that solves the afore mentioned problems by conducting automatic, periodic self-testing functionality of multiple components, preferably all components whose malfunction could negatively impact the health of the patient, of the implantable medical device without triggering from an external device. Furthermore, it would be beneficial to design an improved TET device that automatically initiates periodic self-testing of the implantable device, of any number of one or more components; while minimizing or optimizing the amount of energy consumed or drawn from its internal power source.
  • An object of the present invention is to design a TET system that performs automatic, periodic self-testing functionality of muliple components of the implantable medical device, preferably all components whose malfunction could negatively impact the health of the patient, without triggering from an external device. Simultaneous self-testing of multiple components, preferably all components whose malfunction could negatively impact the health of the patent, on an automatic, periodic basis minimizes energy consumption.
  • Another object of the invention is to develop a TET system wherein the implantable device triggers automatic, periodic self-testing, of one or more components to verify proper operation while minimizing power consumption of the internal power source.
  • the present invention comprises a transcutaneous energy transfer system having an internal power source.
  • An external device is in telemetric communication with the internal device and generates an external RF energy source during telemetric communication with the internal device.
  • a system clock counts down a predetermined period of time.
  • the system further includes self-testing circuitry for verifying proper operation of at least one component of the internal device. The self-testing circuitry is automatically triggered upon the expiration of the predetermined period of time on the system clock.
  • RF circuitry detects the presence and level of the external RF field received by the internal device.
  • a microprocessor initiates the self-testing circuitry and resets the system clock in the presence of a detected external RF field when the time remaining on the system clock is less than a predetermined reset time period.
  • the invention also comprises a corresponding method as defined in claim 8.
  • the present invention is directed to a closed system and method for self testing of a first internal electronic device in telemetric communication with a second external electronic device, wherein each electronic device has its own power source. If any error in operation of the internal electronic device is detected, then a buzzer, vibrator alarm and/or some other indicator is activated to alert the user.
  • the TET system shown and described is an implantable medical device, e.g., a drug infusion pump, in telemetric communication with an external device, e.g., an external control unit, personal computer, mobile or cellular telephone, or Personal Digital Assistant (PDA). It is to be understood, however, that the present disclosure may be used for other devices and is not limited in application to the medical field.
  • FIG. 1 shows a schematic diagram of a TET system including an external device 105 (e.g., an external control unit) in telemetric communication with an implantable medical device 115 (e.g., a drug infusion pump, stimulator, sensor).
  • External device 105 includes a primary coil 110 electrically connected to a tuned matching network 120 that transmits and receives RF data.
  • a demodulator 125 for extracting data signals from the received carrier signal is, in turn, electrically connected to the matching network 120.
  • the output of the demodulator 125 is connected to a microprocessor 130.
  • a transmitter 140 is electrically connected between the microprocessor 130 and matching network 120. All components and circuitry associated with the external device 105 are powered by a power source 135, e.g., a battery.
  • the power source 135 for powering the external device 105 and its associated circuitry and components is a secondary/rechargeable battery, most preferably a smart rechargeable battery.
  • Implantable medical device 115 has an associated secondary coil 143, a matching network 145, RF communication block 155, and microprocessor 150.
  • RF communication block 155 transmits/receives and respectively modulates/demodulates the RF data signals.
  • RF communication block 155 detects the presence of an RF field generated by the external device 105 during communication with the implant and, in turn, triggers powering of the implant communication components.
  • Microprocessor 150 is connected to a system clock 165, a memory device 170, and testing circuitry 175 for verifying the operation of one or more components of the implantable medical device 115.
  • the implantable medical device further includes: (i) sensors 180 for detecting information related to the physical state or condition of the patient and/or the implant device; and (ii) drug delivery control circuitry 185 for varying the flow of dispensing medication to the patient based on the sensed state or condition of the patient.
  • Internal power source 160 is used to power the implantable medical device 115 and all components and circuitry associated therewith (as denoted by the dashed lines in Figure 1 ).
  • the power source 160 is preferably a primary/non-rechargeable battery.
  • System clock 165 counts down a predetermined period of time the expiration of which activates, initiates or triggers testing circuitry 175 for performing steps to ensure or verify proper operation of any desired functionality and components of the implantable medical device 115.
  • the predetermined period of time is set for once every 24 hours, i.e., once a day. Nevertheless, this time period may be modified, as desired, for example, to test multiple times a day, every other day, once a week, once a month, annually, or any other desired time frame.
  • Testing circuitry 175 verifies the proper operation of the implantable medical device 115.
  • Self-testing data is stored in memory 170, preferably a non-volatile memory device.
  • the testing circuitry 175 performs diagnostics to confirm the proper operation of any one or more of the following components: (i) memory check (e.g., read/write operation of RAM) (ii) flash check (e.g., CRC for flash code memory tested; CRC for flash information memory tested); (iii) non-volatile programmable memory read check and CRC check of the memory content; (iv) battery voltage level check; and (v) crystal frequency check. Additional high level testing may be conducted such as temperature sensor check, drug level check and drug How check.
  • memory check e.g., read/write operation of RAM
  • flash check e.g., CRC for flash code memory tested; CRC for flash information memory tested
  • non-volatile programmable memory read check and CRC check of the memory content e.g., battery voltage level check;
  • the tests conducted may be varied, as desired, depending upon the type of device and its associated components employed in the TET system.
  • all components whose malfunction could have a negative impact on the health of the patient, are automatically and periodically tested triggered by the countdown to zero of the predetermined period of time.
  • Such components may include high level (i.e., output level) testing such as the dispensing of the proper dosage of medication or level of energy stimulus; and/or low level (i.e., component level) testing such as the proper operation of a memory device. It is efficient to simultaneously test multiple components at the same time as part of the self-testing process to optimize energy consumption.
  • many of the components in the exemplary drug infusion pump are in a sleep mode (i.e., powered off) prior to triggering of the automatic self-testing sequencing.
  • sleep mode i.e., powered off
  • each micro-controller starts the self-test process.
  • each microprocessor is able to perform testing on different components in parallel thereby reducing energy consumption.
  • any single processor may perform multiple tests simultaneously or in concert, thereby further reducing power consumption.
  • a single processor may be programmed to measure the frequency that is generated by the signal conditioning circuit connected to the drug level sensor and also verify memory CRC.
  • a counter may be triggered by the microprocessor to measure the frequency of the drug level sensor. While the counter is running, the same microprocessor may initiate a calculation of the CRC. Therefore, simultaneous, automatic, periodic self-testing of multiple components saves energy by combining the self-testing processes.
  • self-testing circuitry 175 is automatically triggered by the implantable device each time the system clock 165 counts down from the predetermined time interval, preferably 24 hours, to zero.
  • manual or on demand testing may also be triggered or initiated by the user, physician, technician, or nurse at any time in response to a request signal generated by the external device 105.
  • Such manual or on demand testing requests by the external device 105 preferably does not interrupt or reset automatic, periodic self-testing of the implantable device.
  • the implantable medical device 115 requires energy to carry out testing.
  • the energy necessary to power an implantable medical device including that necessary for testing was drawn from the internal power source 160 associated with the implantable medical device 115 itself. It is desirable while testing to conserve or minimize the power drawn from the internal power source 160 associated with the implantable device by switching to an alternative external power source.
  • the implantable medical device 115 includes an RF/DC transformer 190 for converting the incorning RF signal generated by the external device 105 to a DC voltage.
  • Power switching circuitry 195 is employed for commuting drawing power from the external RF field generated by the external device 105 during communication with the implant rather than from the limited internal power source 160.
  • Exemplary switching circuitry 195 for commuting from the limited internal power source 160 to energy extracted from external RF emissions produced during communication by the external device to the implant in order to power the implantable medical device 115 is described in U.S. Patent Application Serial No. 10/955,678 , entitled “Dual Power Supply Switching Circuitry for Use in a Closed System", filed on September 30, 2004.
  • FIG. 2 is an exemplary flow chart of the operation of the automatic self-testing system in accordance with a second embodiment of the present invention.
  • System clock 165 associated with the implantable medical device 115 continuously counts down a predetermined period of time, e.g., every 24 hours, and automatically triggers the testing circuitry 175 upon reaching zero.
  • RF communication block 155 detects the presence and level of an RF field emitted by the external device 105 during communication with the implantable medical device 115, as found in step 210. It is inefficient to trigger self-testing and resetting of the system clock 165 based solely on whether an external RF field is detected because under certain circumstances communication may occur within a relatively short period of time of each other and testing of the implant so frequently is not necessary.
  • microprocessor 150 determines whether the time remaining on the system clock 165 (i.e., the time remaining on the clock before initiating automatic self-testing) is sufficiently small to warrant resetting the clock and initiating automatic self-testing powered entirely, or at least in part, by the external RF power source. This determination is made in step 220 by the microprocessor 150 by comparing the time remaining on the system clock 165 with that of a predetermined reset time period. In general, if the time remaining on the system clock 165 when an external RF field is detected is greater than or equal to the predetermined reset time period then self-testing has recently been performed and testing again so soon in time is not necessary.
  • the system clock is allowed to count down uninterrupted and testing is automatically triggered upon reaching zero, as shown in step 230.
  • an external RF field is detected when the amount of time remaining on the system clock is less than the predetermined reset time period then self-testing having not been recently performed is forced to occur.
  • testing circuitry 175 is initiated and the system clock 165 is reset. Power required for testing of the implantable medical device components is either supplemented or substituted for that supplied by the internal power source 160 depending on the level of detected external RF field emissions generated by the external device 105 during communication with the implant 115.
  • system clock 165 counts down the predetermined period of time (e.g., 24 hours) and automatically initiates testing upon reaching zero, e.g., at 11:59 pm every day.
  • the predetermined reset time period is set to 2 hours. If detection of an external RF field occurs when less than two hours remain on the system clock 165, then microprocessor 150 sends a reset signal to system clock 165. the clock is reset to count down the predetermined period of time, and testing circuitry 175 is triggered or initiated. Energy necessary to perform the self-testing procedures otherwise drawn from the internal power source 160 is supplemented or replaced by that supplied by the external RF field depending on the level of power generated by the external device.
  • RF communication block 155 detects the presence of an external RF field with 12 hours remaining on the system clock 165. Since the detection of the RF field occurs when more than the 2 hour predetermined reset time period remains on the system clock 165, the clock continues to run and testing circuitry 175 is automatically initiated at the end of the count down of the remaining 12 hours when the system clock reaches zero.
  • the system clock 165 is reset upon receiving a reset signal from microprocessor 150 and testing circuitry 175 is automatically triggered at a new time of 11:00 pm. Assuming that no external RF power source is detected on day five, then the system clock will count down the 24 hour predetermined time period and automatically trigger self-testing at 11:00 pm on day five.
  • the external RF field either supplements or replaces energy that would otherwise be drawn from the internal power source 160 to perform self-testing. Specifically, if the power supplied by external RF energy exceeds that required to perform self-testing of the implant, then the internal power source 160 is cut off and all power is extracted from the external RF energy source. However, if the power produced by the external RF energy source is less than that required to perform self-testing, then the amount of energy drawn from the internal power source 160 is reduced by the amount of power captured from the external RF energy source.
  • the system can be designed so that there is no sharing of power between the internal power source and external RF field.
  • powering of the testing electronics is supplied either exclusively by the internal power source 160 or by the external RF field.
  • the power used to perform or conduct self-testing of the components of the implantable medical device 115 is drawn from the external RF energy source via the power switching circuitry 195 when it exceeds that required to perform self-testing.

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Claims (14)

  1. System zur transkutanen Energieübertragung, welches Folgendes umfasst:
    eine implantierbare medizinische Vorrichtung (115);
    eine interne Leistungsquelle (160) zur Versorgung der implantierbaren medizinischen Vorrichtung (115) mit Leistung;
    eine externe Fernmessvorrichtung (105) in einer Fernmessverbindung mit der implantierbaren medizinischen Vorrichtung (115), welche während der Fernmessverbindung mit der implantierbaren medizinischen Vorrichtung (115) eine externe Hochfrequenzenergiequelle erzeugt; gekennzeichnet durch:
    eine Systemuhr (165) zum Rückzählen einer vorbestimmten Zeitdauer;
    eine selbsttestende Schaltung (175) zum Nachprüfen eines ordnungsgemäßen Betriebes zumindest einer Komponente der implantierbaren medizinischen Vorrichtung (115), wobei die selbsttestende Schaltung (175) bei dem Ablauf der vorbestimmten Zeitdauer auf der Systemuhr (165) automatisch ausgelöst wird;
    eine Hochfrequenzschaltung (155), um die Gegenwart und ein Niveau des externen Hochfrequenzfeldes zu erfassen, welches von der implantierbaren medizinischen Vorrichtung (115) empfangen wird; und
    einen Mikroprozessor (150), welcher in der Gegenwart eines erfassten externen Hochfrequenzfeldes beim Verwenden die selbsttestende Schaltung (175) startet und die Systemuhr (165) zurücksetzt, wenn die auf der Systemuhr (165) verbleibende Zeit weniger als eine vorbestimmte Zurücksetzzeitdauer beträgt.
  2. System zur transkutanen Energieübertragung gemäß Anspruch 1, welches weiterhin einen leistungsschaltenden Schaltkreis umfasst, welcher mit dem Mikroprozessor (150) verbunden ist, um Leistung von der internen Leistungsquelle (160) abzuschalten und Leistung ausschließlich aus dem externen Hochfrequenzfeld zu beziehen, wenn die Leistung, welche durch das externe Hochfrequenzfeld erzeugt wird, jene übersteigt, welche zum Durchführen des Selbsttests der zumindest einen Komponente der implantierbaren medizinischen Vorrichtung (115) benötigt wird.
  3. System zur transkutanen Energieübertragung gemäß Anspruch 1, wobei der Mikroprozessor (150) Leistung, welche aus der internen Leistungsquelle (160) entnommen wird, durch Leistung ergänzt, welche aus dem externen Hochfrequenzfeld bezogen wird, wenn die Leistung, welche durch das externe Hochfrequenzfeld erzeugt wird, kleiner ist als jene, welche zum Durchführen des Selbsttests der zumindest einen Komponente der implantierbaren medizinischen Vorrichtung (115) benötigt wird.
  4. System zur transkutanen Energieübertragung gemäß Anspruch 1, wobei die vorbestimmte Zeitdauer ungefähr 24 Stunden beträgt und die vorbestimmte Zurücksetzzeitdauer ungefähr 2 Stunden beträgt.
  5. System zur transkutanen Energieübertragung gemäß Anspruch 1, wobei die selbsttestende Schaltung (175) eine Low-Level-Diagnose durchführt, welche zumindest (i) eine Speicherüberprüfung; (ii) eine Flashspeicherüberprüfung; (iii) eine Leseüberprüfung eines nichtflüchtigen, programmierbaren Speichers und eine CRC-Überprüfung eines Speicherinhalts; (iv) eine Überprüfung eines Batteriespannungsniveaus; und/oder (v) eine Kristallfrequenzüberprüfung aufweist.
  6. System zur transkutanen Energieübertragung gemäß Anspruch 1, wobei die selbsttestende Schaltung (175) eine High-Level-Diagnose der implantierbaren medizinischen Vorrichtung (115) durchführt.
  7. System zur transkutanen Energieübertragung gemäß Anspruch 6, wobei die High-Level-Diagnose zumindest (i) eine Temperatursensorüberprüfung, (ii) eine Wirkstoffniveauüberprüfung, und/oder (iii) eine Wirkstoffflussüberprüfung aufweist.
  8. Verfahren zum automatischen Selbsttesten einer implantierbaren medizinischen Vorrichtung (115) in einem System zur transkutanen Energieübertragung, wobei die implantierbare medizinische Vorrichtung (115) eine interne Leistungsquelle (160) aufweist und sich in Fernmessbeziehung mit einer externen Fernmessvorrichtung (105) befindet, welche während der Fermessverbindung mit der implantierbaren medizinischen Vorrichtung (115) eine externe Hochfrequenzenergiequelle erzeugt, wobei das Verfahren durch folgende Schritte gekennzeichnet ist:
    Rückzählen einer vorbestimmten Zeitdauer unter Verwendung einer Systemuhr (165);
    automatisches Auslösen einer selbsttestenden Schaltung (175) nach dem Ablauf der vorbestimmten Zeitdauer auf der Systemuhr (165), um einen ordnungsgemäßen Betrieb zumindest einer Komponente der implantierbaren medizinischen Vorrichtung (115) nachzuprüfen;
    Erfassen der Gegenwart und eines Niveaus eines externen Hochfrequenzfeldes, welches von der implantierbaren medizinischen Vorrichtung (115) empfangen wird; und
    Starten der selbsttestenden Schaltung (175) und Zurücksetzen der Systemuhr (165) in der Gegenwart eines erfassten externen Hochfrequenzfeldes, wenn die auf der Systemuhr (165) verbleibende Zeit weniger als eine vorbestimmte Zurücksetzzeitdauer beträgt.
  9. Verfahren gemäß Anspruch 8, wobei der Schritt des Startens weiterhin den Schritt eines Abschaltens von Leistung von der internen Leistungsquelle (160) und ein Beziehen von Leistung ausschließlich aus dem externen Hochfrequenzfeld umfasst, wenn die Leistung, welche von dem externen Hochfrequenzfeld erzeugt wird, jene übersteigt, welche für ein Durchführen eines Selbsttestens der zumindest einen Komponente der implantierbaren medizinischen Vorrichtung (115) benötigt wird.
  10. Verfahren gemäß Anspruch 8, wobei der Schritt des Startens weiterhin den Schritt eines Ergänzens der Leistung umfasst, welche aus der internen Leistungsquelle (160) gewonnen wird, durch Leistung, welche aus dem externen Hochfrequenzfeld bezogen wird, wenn die Leistung, welche durch das externe Hochfrequenzfeld erzeugt wird, geringer ist als jene, welche für ein Durchführen eines Selbsttestens der zumindest einen Komponente der implantierbaren medizinischen Vorrichtung (115) benötigt wird.
  11. Verfahren gemäß Anspruch 8, wobei die vorbestimmte Zeitdauer ungefähr 24 Stunden beträgt und die vorbestimmte Zurücksetzzeitdauer ungefähr 2 Stunden beträgt.
  12. Verfahren gemäß Anspruch 8, wobei der Schritt des Auslösens den Schritt eines Durchführens einer Low-Level-Diagnose umfasst, welche zumindest (i) eine Speicherüberprüfung; (ii) eine Flashspeicherüberprüfung; (iii) eine Leseüberprüfung eines nicht-flüchtigen, programmierbaren Speichers und eine CRC-Überprüfung eines Speicherinhalts; (iv) eine Überprüfung eines Batteriespannungsniveaus; und/oder (v) eine Kristallfrequenzüberprüfung aufweist.
  13. Verfahren gemäß Anspruch 8, wobei der Schritt des Auslösens den Schritt eines Durchführens einer High-Level-Diagnose der implantierbaren medizinischen Vorrichtung (115) umfasst.
  14. Verfahren gemäß Anspruch 13, wobei die High-Level-Diagnose zumindest (i) eine Temperatursensorüberprüfung, (ii) eine Wirkstoffniveauüberprüfung, und/oder (iii) eine Wirkstoffflussüberprüfung aufweist.
EP07076050A 2004-10-29 2005-10-28 Automatischer Selbsttest eines implantierbaren medizinischen Geräts mit transkutaner Energieübertragung Active EP1911477B1 (de)

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US10/978,247 US7437644B2 (en) 2004-10-29 2004-10-29 Automatic self-testing of an internal device in a closed system
EP05256693A EP1652542B1 (de) 2004-10-29 2005-10-28 Implantierbares medizinisches Gerät mit automatischem Selbsttest, Telemetrie und transkutaner Energieübertragung

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DE602005012772D1 (de) 2009-04-02
EP1652542A1 (de) 2006-05-03
PL1911477T3 (pl) 2010-09-30
US20060107148A1 (en) 2006-05-18
EP1911477A2 (de) 2008-04-16
PL1652542T3 (pl) 2009-12-31
EP1652542B1 (de) 2009-02-18
CA2524877C (en) 2015-05-26
US7437644B2 (en) 2008-10-14
AU2005225136A1 (en) 2006-05-18
CA2524877A1 (en) 2006-04-29
EP1911477A3 (de) 2008-04-23
ATE422917T1 (de) 2009-03-15
DE602005020698D1 (de) 2010-05-27
ATE464082T1 (de) 2010-04-15
AU2005225136B2 (en) 2011-06-09

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